Recurance · prevention of future deaths reports
Pre-inquest brief
Insufficient alertness of healthcare staff to physical symptoms occluded by mental health issues
The earlier warning
Shalane Blackwood · 3 May 2016 · Stephanie Haskey, Nottinghamshire
“That healthcare staff are insufficiently alert to the issue that physical symptoms which require urgent medical attention may be occluded by mental health issues.”
What was promised
No published response from Nottinghamshire Healthcare NHS Foundation Trust was found for the earlier reports.
What recurred
- 5 Jan 2024 · Tammy Watkins · Laurinda Bower · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Shalane Blackwood · 3 May 2016
“That healthcare staff are insufficiently alert to the issue that physical symptoms which require urgent medical attention may be occluded by mental health issues.”
Later · Tammy Watkins · 5 Jan 2024
“Poor Quality Acute Physical Healthcare in the mental health setting [the deceased]'s death demonstrates a further example of a failure by medical staff to recognise a deteriorating patient and a subsequent delay in escalating for acute secondary care intervention.”
What happened next
No web check of the stated actions has been published for this chain.